The declining sex ratio had become a constant concern to everyone in rank and file for the changing demographic profile and the social consequences thereof. With majority of interventions addressing the female population, in one way or the other, somehow are getting the palpable dent into the gender balance of the total population. Despite the natural equity accorded to the sex of new born, ways and means have come up over the years there by this equity has been twisted in favor of males. The elimination of girls and women is not entirely new to Indian   socio cultural context. Neglect of the girl child in terms of nutrition, education, health care and her overall development is just one facet; a morecruel practice against females is female infanticide and female feticide. The obvious result is a sex ratio increasingly adverse to women. The scientific advances and the modern medicine have become double edged sword further cutting across the socially determined girl child ratio, complementing each other and in turn providing an opportunity to potential parents saying NO to the birth of girl child. Child sex ratio has been adversely affected by the practice of Pre-Conception and Pre-Natal sex selection. The Pre-Conception and Pre-Natal Diagnostic Techniques Act (PC&PNDT Act) enacted in 1994 seeks to address this problem legally. It is the end product of extensive deliberations among all stakeholders i.e the peoples’ representatives, medical practitioners and the civil society. The PNDT Act focuses on the need to eliminate the illegal practice of sex determination and female foeticide and echoes the collective concern of the people’s representatives and the civil society.

Legislation alone cannot solve the problem of sex selection practices and its impact on the adverse sex ratio. At the heart of the problem is the deep rooted prejudices and the patriarchal social framework and a value system based on son preference. Given the socio-cultural context and deep-rooted prejudices what is needed is a change in the collective consciousness. To overcome the growing and grave problem of sex-selection resulting from misuse of prenatal diagnostic techniques, the Pre-Conception and Pre-Natal Diagnostic Techniques (Prohibition of Sex Selection) Act, 1994 (PC& PNDT Act) was enacted. The PC & PNDT Act has several deterrent legal provisions and procedures. However, it is effective implementation of the Act that can meaningfully address this steady decline in Child Sex Ratio. Directorate of Family Welfare GNCT of Delhi is the nodal department for the implementation of PC & PNDT Act in Delhi. The PC PNDT Act is being implemented through duly constituted statutory bodies i.e., State Supervisory Board, State Advisory Committee, State Appropriate Authority, District Appropriate Authority & District Advisory Committee as per the provisions of PC & PNDT Act.

Sincere efforts are being made to improve the sex ratio of Delhi by taking various actions under the purview of PC & PNDT Act to stop the misuse of the techniques for sex selection and sex selective abortions, to create the awareness among the society and to rope in the society for this particular cause.